Transcript CPS AND SUBSTANCE ABUSE Milton Ayala, LMSW milton.ayala

CPS AND SUBSTANCE
ABUSE
Milton Ayala, LMSW
[email protected]
512-438-3863
OVERVIEW
• CPS Mission
• Data
• Addiction
• Key Components of Effective Treatment
• OSAR
CPS Mission
• The mission of Child Protective
Services is to protect children and
to act in the children’s best interest.
To seek active involvement of the
children’s parents and other family
members to solve problems that
lead to abuse and neglect
Substances Abuse Trends in Texas
June 2009
• Increased heroin inhalation by young Hispanics
• Youth in their twenties are shifting to injecting illicit
drugs - based on treatment admission
• Decrease in cocaine and methamphetamine
indicators (drug violence, drug seizures, increased
price)
• Decrease in proportion of African American crack
users
• Primary drug of abuse at admission to treatment
(2007):
– Heroin (10%)
– Cocaine (24%)
– Methamphetamine (11%)
Source: DSHS; and UT Center for Social Work Research
Drug or Alcohol Related
Investigation During FY 2008
Drug or Alcohol Related Investigation Completed During Fiscal Year 2008
Risk Assessment/Reason for Closure
Methamphetamine
Manufacturing
Safety Factors
CH.2
CH.4
Risk
Risk Risk factors
Discovered/
Drug % Drug/ Risk
Alleged
Dangerous Drug/
Confirmed
Alcohol Alcohol Indicated/ Indicated/ Indicated/ Controlled/
at Intake
Criminal Alcohol
FPR
Subcare Closed
Closed
During INV
related Related
Activity Abuse
Inv.
Inv.
Reg
All Inv.
During
FY08
1
2
3
4
5
6
7
8
9
10
11
999
7,418 3,241 43.7%
5,430 2,609 48.0%
38,357 14,348 37.4%
8,448 3,607 42.7%
5,882 2,557 43.5%
31,808 8,696 27.3%
20,519 7,846 38.2%
20,207 8,438 41.8%
5,104 2,516 49.3%
4,320 1,604 37.1%
17,485 6,751 38.6%
32
11 34.4%
Risk Factors
CC.FN3
Drug
Abuse
Characteristics
MT.CS3
Caretaker
Drug/
Infant
Infant
Alcohol Substance
Born
Addiction
Testing or Abuse
Child
Addicted
Treatment
Death
752
802
2,991
596
272
2,170
1,249
2,745
728
506
2,161
0
305
176
1,178
339
155
1,078
645
716
190
72
424
1
32
19
182
23
8
68
63
103
38
13
115
0
1,586
1,514
9,088
2,471
1,981
4,571
5,496
4,694
1,433
841
3,758
8
17
28
52
29
13
17
24
29
7
1
5
0
32
33
123
60
19
69
60
82
20
12
60
0
1,255
751
5,173
1,311
730
2,605
2,697
3,076
883
473
2,537
6
1,790
1,529
8,031
1,739
1,403
4,155
3,923
4,482
1,426
887
3,755
5
241
212
1,601
261
260
908
663
1,030
175
142
554
0
3
2
23
5
4
20
8
8
3
2
10
0
Total 165,010 62,224 37.7% 14,972
5,279
664
37,441
222
570
21,497 30,252 38,378 8,192 22,898 33,125
6,047
88
1,689
1,150
7,078
1,803
1,184
4,006
3,578
4,188
1,245
837
3,490
4
1,939
1,547
8,804
2,230
1,601
5,242
4,889
5,182
1,619
1,011
4,310
4
344
222
2,154
425
326
1,308
895
1,190
288
216
821
3
1,517
938
5,328
1,606
1,131
2,805
2,268
3,516
922
765
2,099
3
Analysis
• About 40% of Child Abuse and Neglect Investigations
had a drug or alcohol person characteristic
– Nationally, figure ranges from 33%-66%(samsha.gov)
• 60 % of removals were connected to the existence of
drug or alcohol use/abuse
• In 88 child deaths, alcohol and/ or drugs was a factor in
the child’s death
• 222 Meth Intakes/570 cases Discovered or Confirmed
during Investigation
Source: DFPS Data Warehouse (2008)
Addiction
“A chronic, relapsing brain disease that is
characterized by compulsive drug seeking
and use, despite harmful consequences”
Source: NIDA (The Science of Addiction)
Effective Treatment
• The key components of effective treatment as
defined by DFPS are:
• (1) Abstinence
• (2) Involvement in treatment or aftercare
• (3) Acquisition and demonstration of parenting
skills to include bonding
• (4) Problems that led to abuse and neglect
have been solved.
• (5) Relapse Safety Plan.
OSAR
DRAFT PSA: OSAR
• OSAR
DFPS encourages the primary use of the OSAR
contractors.
• Local Treatment Contractors
The DFPS caseworker can make a direct referral
to local treatment contractors when there is not
an OSAR appointment available within 14 days
or the distance to an OSAR site is excessive and
the OSAR can not make arrangements to travel
to the client's location.
DFPS-DSHS MOU (Proposed)
• DSHS agrees to place parents with
children in foster care as a priority
population to be served by DSHS’s
contractors. Additionally, DSHS agrees to
give priority admission to all other clients
referred by DFPS, behind the DSHS
Priority Populations. DFPS clients include
children and adults
DSHS Priority Groups
•
•
•
•
•
pregnant injecting drug users;
pregnant substance abusers;
injecting drug users;
parents with children in foster care; and
veterans with honorable discharges
DFPS-DSHS MOU (Proposed)
• DFPS staff will complete the standardized
referral form that includes details
concerning potential substance misuse
issues for each client referred to a DSHS
contractor.
DFPS Referrals by SVCS:
2009
•
•
•
•
Detoxification
5%
Specialized Female Outpatient
45%
Specialized Female Residential
29%
Women and Children Residential 45%
Reference: DSHS Data
Communications
•
Best Practices
----Reminding Client about
Appointment
----Scheduling CPS Clients when a
cancellation occurs in the OSAR
appointment calendar
---- OSAR Co-located in a CPS
Office on Specific Days and Times
Communications
• Areas That Could be Improved
(Open Discussion)
QUESTIONS?